Effect Of Continuous Passive Motion Combined With Electromyography Biofeedback Therapy On Hand Function After Acute (Sub-acute) Stroke

1.ObjectivesWe designed and implemented a hand-cranked CPM(continuous passive motion)combined with myoelectric biofeedback training to treat randomized(sub-acute)hand movement dysfunction and hand sputum randomized controlled trials(Randomized Controlled Trial,RCT)provides research evidence for better clinical outcomes and provides new ideas for rehabilitation strategies for patients with post-stroke hand dysfunction.2.MethodPatients who were hospitalized in the Department of Neurosurgery,Gansu Provincial People's Hospital,in the Department of Neurosurgery,Gansu Provincial People's Hospital,who were eligible for acute(sub-acute)stroke after hemiplegia,were selected as subjects.According to the principle of randomization The CPM test group,the hand CPM combined with the electromyography biofeedback treatment group or the conventional manual rehabilitation group;the subject group received training by trained rehabilitated patients according to three pre-set interventions.At the time of enrollment and rehabilitation,the 7th and 14 th day of rehabilitation training were performed by experienced assessors who received unified training.The SPSS25.0 statistical software was used to perform statistical tests on repeated measures of randomized controlled trials.Statistical Analysis.2.ResultsA total of 66 subjects were enrolled,randomly assigned to three groups,and the patients who were missing were excluded.The final 60 patients completed the training,20 patients in the CPM test group,20 patients in the CPM combined with the EMG biofeedback test,and 20 patients in the routine rehabilitation.20 patients in the control group.There was no significant difference between the general clinical data of each group and the evaluation indexes of the evaluation indexes at the time of enrollment(P>0.05),which was comparable.The data of rehabilitation evaluation of the three groups at the time of enrollment,training on the 7th and14 th were compared.The hand movement function and hand sputum of the three groups were improved and statistically significant(P<0.05).There was no significant difference in the hand dysfunction between the hand CPM test group and the control group(P>0.05).The hand CPM combined with the myoelectric biofeedback test group had a significant difference in improving hand movement function and hand fistula compared with the conventional manual rehabilitation group(P<0.05),and was superior to conventional manual rehabilitation.3.ConclusionThis clinical randomized controlled trial suggests that traditional hand rehabilitation and hand CPM rehabilitation training can improve hand movement function and hand sputum,but through group comparison,it is found that hand CPM combined with myoelectric biofeedback rehabilitation training mode is more suitable for brain.Rehabilitation treatment of patients with hemiplegia after stroke helps to significantly improve hand movement function and hand spasm,improve patients' quality of life,and better return to the community.